Organization
LIVANIS BEHAVIORAL CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW LIVANIS PH.D., BCBA-D, LBA (PSYCHOLOGIST AND BEHAVIOR ANALYST)
(718) 564-0237
Entity
Organization
Contact information
Practice address
3227 33RD ST, ASTORIA, NY 11106-2127
(718) 564-0237
Mailing address
3227 33RD ST, ASTORIA, NY 11106-2127
(718) 564-0237
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
000501
NY
103TB0200X
Cognitive & Behavioral Psychologist
020
NY
103TC2200X
Clinical Child & Adolescent Psychologist
020334
NY
Other
Enumeration date
06/17/2016
Last updated
06/17/2016
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